Pacing and clinical electrophysiology : PACE · 2018
External implantable defibrillator as a bridge to reimplant after explant for infection: Experience from two centers.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dell'Era Gabriele, Ziacchi Matteo, Prenna Eleonora, Diemberger Igor, Varalda Marco, Martignani Cristian, Guerra Federico, Biffi Mauro, Occhetta Eraldo
Аннотация
BACKGROUND: The management of patients explanted for implantable converter defibrillator (ICD) infections may be complex when anti-bradycardia pacing and tachyarrhythmia protection are needed. We aimed to test the efficacy and safety of a conventional ICD externally connected to a transvenous dual-coil lead as bridging therapy before the reimplantation.
METHODS AND RESULTS: We enrolled seven patients explanted for ICD infections and needed prolonged antibiotic therapy in two high-volume hospitals in Italy and treated them with a passive-can external ICD for a mean of 13 (4-30) days before reimplant. One patient experienced an electrical storm, efficaciously recognized by the external ICD and treated with antitachycardia pacing and shocks. On-demand pacing was granted for all the patients. No device-related complications were reported.
CONCLUSIONS: An external ICD seems safe and efficacious as a bridge to reimplant in patients explanted for ICD infections.
METHODS AND RESULTS: We enrolled seven patients explanted for ICD infections and needed prolonged antibiotic therapy in two high-volume hospitals in Italy and treated them with a passive-can external ICD for a mean of 13 (4-30) days before reimplant. One patient experienced an electrical storm, efficaciously recognized by the external ICD and treated with antitachycardia pacing and shocks. On-demand pacing was granted for all the patients. No device-related complications were reported.
CONCLUSIONS: An external ICD seems safe and efficacious as a bridge to reimplant in patients explanted for ICD infections.